Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | RN050734 | GA |
NPI | 1003124967 |
---|---|
Provider Name | Mrs. Nancy Fletcher Mccall |
First Address | Gainesville, GA 30504-5321 |
Second Address | Gainesville, GA 30504-5321 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2010 |
Last Update Date | 14/09/2010 |